Organization
THE MIRIAM HOSPITAL
Active
Organization
THE MIRIAM HOSPITAL
Active
Parent organization
LIFESPAN CORPORATION
Other names
Cardiovascular Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
208 COLLYER ST, SUITE 100, PROVIDENCE, RI 02904-1560
(401) 793-7191
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 793-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
HOS00122
RI
Other
Enumeration date
10/27/2011
Last updated
03/18/2026
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